The Northeast Center for Agricultural Health

描述（由申请人提供）：纽约农业医学与健康中心（NYCAMH）与宾夕法尼亚州立大学（PSU）、康奈尔大学（CD）、纽约州立大学-奥尔巴尼分校、哈佛大学(H)和康涅狄格大学（UConn）的研究人员合作，提议为东北农业健康中心提供另一个五年的支持。东北中心（NEC）的目标保持不变：1)重点关注东北地区流行病学认定的高风险问题；2)处理已知或疑似面临风险增加的人群；3)打通东北资源；4)积极配合NIOSH和其他国家资源；5)认真评估所有教育和预防项目。为了实现这些目标，NEC将特别关注强调重要社区投入的活动，并依赖于人体工程学的重新设计和工程修改。总部设在NYCAMH的行政核心为整个地区提供可行性项目和外联服务。行政核心还为需要这些服务的中心项目提供项目设计和统计支持。项目/中心评估将报告给外部委员会、NIOSH和联合中心评估工作（目标4,5）。一个研究核心计划了两个探索性的项目——1)农村青年听力损失(H)和2)细胞因子水平和农民听力损失（SUNY）——以及三个R01项目。现在提议继续进行以下工作：3)拖拉机安全操作（PSU）和一项新的五年努力，该努力将利用紧急医疗服务报告建立纽约州范围内的农业伤害监测系统（NYCAMH）。随后的补充申请将提出5)比较两种干预措施对托儿所工人（UConn）肌肉骨骼疾病的影响。这些项目涉及目标1、2和3。研究活动的总经费占总直接成本的32%。三项预防方案（占总预算的28%）包括：1)NAGCAT的有效性；2)社区移民干预（UConn）及其相关的“东北社区干预网络”（NYCAMH）；3)损失控制方法以减少伤害（CU）。这些目标涉及目标1、2、3和4。3个翻译项目（总预算27%）-1)滚转保护（NYCAMH）社会营销；2)营销符合人体工程学的苹果桶（NYCAMH）和3)安全进入粪肥设施（PSU）。-这些项目都是NEC上一个周期成功的研究计划，实现了目标1、2、3和4。除了拟议的社区小组网络外，有六个项目严重依赖社区投入。六个项目致力于为东北地区的重大问题提供工程/人体工程学解决方案。

DESCRIPTION (provided by applicant): The New York Center for Agricultural Medicine and Health (NYCAMH), in partnership with investigators from Penn State (PSU), Cornell (CD), SUNY- Albany, Harvard (H) and Connecticut (UConn), proposes another five years of support for the Northeast Center for Agricultural Health. The goals of the Northeast Center (NEC) remain unchanged: 1) Focus on issues epidemiologically identified as high risk in the northeast region; 2) Address populations known or suspected to be facing increased risk; 3) Reach out to resources throughout the Northeast; 4) Collaborate actively with NIOSH and other national resources; 5) Carefully evaluate all Education and Prevention projects. In pursuit of these goals, NEC will focus in particular upon activities that emphasize significant community input and that rely upon ergonomic re-design and engineering modification. The Administrative Core based at NYCAMH provides Feasibility Projects and Outreach that serve the entire region. The Administrative Core also provides project design and statistical support to center projects desiring these services. Project / center evaluation will be reported to an External Board, NIOSH and the joint centers evaluation effort (Goals 4, 5). A Research Core plans two exploratory -1) Hearing loss in farm youth (H) and 2) Cytokine levels and in farmers (SUNY) - and three R01 projects. Proposed now is continuation of work on: 3) Safe tractor operation (PSU) and a new five year effort that will use emergency medical services reports to build a 4) NY Statewide agricultural injury surveillance system (NYCAMH). A later supplementary application will propose a 5) Comparison of two interventions for musculoskeletal disease in nursery workers (UConn). These projects address Goals 1, 2 and 3. Total funding for research activities is 32% of total direct costs. Three Prevention (28% total budget) proposals include 1) Effectiveness of NAGCAT; 2) Community-based migrant intervention (UConn) and a related "Northeast Community Intervention Network" (NYCAMH); and examination of 3) Loss control methodology to reduce injuries (CU). These address Goals 1,2,3, and 4. Three Translation projects (27% total budget) -1) Social marketing of rollover protection (NYCAMH); 2) Marketing of an ergonomic apple bucket (NYCAMH) and 3) Safe entry of manure facilities (PSU).- These projects, all successful research initiatives from NEC's last cycle, address Goals 1,2,3, 4. In addition to the proposed network of community-based teams, six projects rely heavily on community input. Six projects are devoted to engineering / ergonomic solutions for significant Northeastern problems.